QMA INSULIN EXAMINATION SET UPDATED QUESTIONS
AND SOLUTIONS RATED A+
✔✔Glucose level reaches a peak - ✔✔30 minutes and returns to baseline within 3
hours
✔✔glipizide - ✔✔Glucotrol
✔✔metformin - ✔✔Glucophage
✔✔Pioglitazone - ✔✔Actos
✔✔Sitagliptin - ✔✔Januvia
✔✔liraglutide - ✔✔Victoza
✔✔glimepiride - ✔✔Amaryl
✔✔dapagliflozin - ✔✔
✔✔Points to remember - ✔✔Right resident
Right amount/dose
Right Route
Right time
Right documentation
✔✔Insulin varies by speed of on set - ✔✔Time of duration and peak time
✔✔Peak refers to - ✔✔Time when the medication reaches its greatest effectiveness
✔✔Duration is - ✔✔Amount of time during which the medication lasts in the body
✔✔What are the names of Rapid-acting insulin
Regular?
intermediate-Acting
Long-acting - ✔✔
✔✔U-500 insulin has been developed for - ✔✔People who are extremely insulin
resistant
✔✔Three types of insulin - ✔✔3/10cc used for 30 units or less
1.2cc used for 50 units or less
1cc used for more than 50 units
, ✔✔After use, how is the insulin syringe disposed of - ✔✔Dispose of the syringe in a
container designated for used sharps
✔✔One needle/syringe can be use on multiple resident - ✔✔False
✔✔Can you use any type of syringe to give insulin or only an insulin Syringe - ✔✔Only
insulin syringe
✔✔Insulin is very sensitive to - ✔✔Sunlight and extreme hot or cold temperatures
✔✔For a unopened insulin vial, refrigerate at temperatures of - ✔✔36 -46 F
✔✔For opened insulin discard after - ✔✔28 days
✔✔For opened pen discard after - ✔✔2 days
✔✔Do not freeze insulin - ✔✔True
✔✔Write discard date on vial - ✔✔True
✔✔Inspect insulin-note any changes in - ✔✔Color/clarity, white particles or crystals and
discard.
✔✔Where are the most common injections sites - ✔✔Abdomen, outer thighs, back of
arms, buttock
✔✔Subcutaneous injection allow - ✔✔Medication to be absorbed more slowly for a
sustained period
✔✔How many times do you check the physician orders - ✔✔3 times
✔✔List 4 eye diseases - ✔✔Retinopathy
blindness
cataracts
glaucoma
✔✔What is kidney disease - ✔✔
✔✔List 3 types of heart issues - ✔✔Hypertension (HTN)
Heart disease
blood vessel changes
AND SOLUTIONS RATED A+
✔✔Glucose level reaches a peak - ✔✔30 minutes and returns to baseline within 3
hours
✔✔glipizide - ✔✔Glucotrol
✔✔metformin - ✔✔Glucophage
✔✔Pioglitazone - ✔✔Actos
✔✔Sitagliptin - ✔✔Januvia
✔✔liraglutide - ✔✔Victoza
✔✔glimepiride - ✔✔Amaryl
✔✔dapagliflozin - ✔✔
✔✔Points to remember - ✔✔Right resident
Right amount/dose
Right Route
Right time
Right documentation
✔✔Insulin varies by speed of on set - ✔✔Time of duration and peak time
✔✔Peak refers to - ✔✔Time when the medication reaches its greatest effectiveness
✔✔Duration is - ✔✔Amount of time during which the medication lasts in the body
✔✔What are the names of Rapid-acting insulin
Regular?
intermediate-Acting
Long-acting - ✔✔
✔✔U-500 insulin has been developed for - ✔✔People who are extremely insulin
resistant
✔✔Three types of insulin - ✔✔3/10cc used for 30 units or less
1.2cc used for 50 units or less
1cc used for more than 50 units
, ✔✔After use, how is the insulin syringe disposed of - ✔✔Dispose of the syringe in a
container designated for used sharps
✔✔One needle/syringe can be use on multiple resident - ✔✔False
✔✔Can you use any type of syringe to give insulin or only an insulin Syringe - ✔✔Only
insulin syringe
✔✔Insulin is very sensitive to - ✔✔Sunlight and extreme hot or cold temperatures
✔✔For a unopened insulin vial, refrigerate at temperatures of - ✔✔36 -46 F
✔✔For opened insulin discard after - ✔✔28 days
✔✔For opened pen discard after - ✔✔2 days
✔✔Do not freeze insulin - ✔✔True
✔✔Write discard date on vial - ✔✔True
✔✔Inspect insulin-note any changes in - ✔✔Color/clarity, white particles or crystals and
discard.
✔✔Where are the most common injections sites - ✔✔Abdomen, outer thighs, back of
arms, buttock
✔✔Subcutaneous injection allow - ✔✔Medication to be absorbed more slowly for a
sustained period
✔✔How many times do you check the physician orders - ✔✔3 times
✔✔List 4 eye diseases - ✔✔Retinopathy
blindness
cataracts
glaucoma
✔✔What is kidney disease - ✔✔
✔✔List 3 types of heart issues - ✔✔Hypertension (HTN)
Heart disease
blood vessel changes
